Organization Active NPI

Therapytime OT, PC

  • Medical Specialty Clinic/Center
  • Tulsa, OK
National Provider Identifier
1417031147
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
THERAPYTIME OT, PC
Practice address
4157 S Harvard Ave
Suite 117
Tulsa, OK 74135-2631
Phone
(918) 712-7868
Fax
(918) 749-2901
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Suzanne Mary Marolf, OTR/L
Title
President
Phone
(918) 712-7868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

4157 S Harvard Ave
Suite 117
Tulsa, OK 74135-2631

Mailing address

4157 S Harvard Ave
Suite 117
Tulsa, OK 74135-2631
Phone (918) 712-7868

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417031147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4157 S HARVARD AVE",
            "address_2": "SUITE 117",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352631",
            "telephone_number": "918-712-7868",
            "fax_number": "918-749-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4157 S HARVARD AVE",
            "address_2": "SUITE 117",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352631",
            "telephone_number": "918-712-7868",
            "fax_number": "918-749-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPYTIME OT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAROLF",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-712-7868",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.